| NPI | 1649866740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2005564) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OH S.2005564) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2023-05-12 |